| Restoration Medicine | |
|
100 Fore St Portland ME 04101-4879 | |
| (781) 346-4461 | |
| Not Available |
| Full Name | Restoration Medicine |
|---|---|
| Speciality | Physical Therapist |
| Location | 100 Fore St, Portland, Maine |
| Authorized Official Name and Position | Thomas C Hunter (CEO) |
| Authorized Official Contact | 7813464461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Medicine 100 Fore St Portland ME 04101-4879 Ph: (781) 346-4461 | Restoration Medicine 100 Fore St Portland ME 04101-4879 Ph: (781) 346-4461 |
| NPI Number | 1447040316 |
|---|---|
| Provider Enumeration Date | 05/12/2025 |
| Last Update Date | 05/12/2025 |
| Certification Date | 05/08/2025 |
| Medicare PECOS PAC ID | 6709399389 |
|---|---|
| Medicare Enrollment ID | O20250627000707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447040316 | NPI | - | NPPES |
| Provider Name | Ashley Drake |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740716042 PECOS PAC ID: 8820351125 Enrollment ID: I20180419002564 |
| Provider Name | Kerstin Grenier |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821637554 PECOS PAC ID: 6204372782 Enrollment ID: I20240719002896 |
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